Knowledge and Attitude Towards Cardiopulmonary Resuscitation Among Doctors of a Tertiary Care Hospital in Karachi

Majid, Aamina; Jamali, Momal; Ashrafi, Muhammad Moinuddin; Haq, Zaiyn Ul; Irfan, Rafia; Rehan, Aiman; Memon, Muhammad Mustafa; Khan, Muhammad Tassaduq; Kumar, Jai; Singh, Pankaj Kumar; Luis, Sushil Allen; Ram, Pradhum; Lasrado, Savita; Imtiaz, Fouzia; Menezes, Ritesh G.

doi:10.7759/cureus.4182

Cited by 17 publications

(18 citation statements)

References 22 publications

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“…Even though, bystander CPR has gained widespread recognition as a lifesaving skill; implementation of bystander CPR training and public access to it is generally limited in LMICs. However, in Pakistan, healthcare professionals have inadequate knowledge of CPR (49,50). There are several major concerns that bystanders may have regarding their readiness to perform CPR in Pakistan, including making a mistake when performing CPR or unintentionally injuring the patient, being concerned about legal consequences, and hesitating to perform CPR on the opposite gender which is consistent with the previous ndings (51).…”

Section: Discussionmentioning

confidence: 99%

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Out of Hospital Cardiac Arrest (OHCA): Experience of a Bystander CPR Training Program in Karachi, Pakistan

Khan¹,

Khudadad²,

Baig³

et al. 2021

Preprint

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Background: Nearly 90% of out-of-hospital cardiac arrest (OHCA) patients are witnessed, yet only 2.3% received bystander CPR (cardiopulmonary resuscitation in Pakistan. This study aimed to determine retention of knowledge and skills of Hands-Only CPR among community participants in early recognition of OHCA and initiation of CPR in Karachi, Pakistan.Methods: The pre and post-tests were conducted among participants from diverse non-health-related backgrounds from July 2018 to October 2019. Participants were tested for knowledge and skills of CPR before training (pre-test), immediately after training (post-test), and six months after training (retention test). All the participants received CPR training through video and scenario-based demonstration using manikins. Post-training CPR skills of the participants were assessed using a pre-defined performance checklist. The evaluator read out numerous case scenarios to the participants, such as drowning, poisoning, and road traffic injuries, etc., and then asked them to perform the critical steps of CPR identified in the scenario on manikins. The primary outcome was the mean difference in the knowledge score and skills of the participants related to the recognition of OHCA and initiation of CPR. Results: The pre and post-tests were completed by 722 participants, whereas the retention test after 6 months was completed by 358 participants. The mean knowledge score related to the recognition of OHCA, and initiation of CPR improved significantly (p <0.001) from pre-test (47.2/100, ±13.2) to post-test (69.9/100, ±12). The mean CPR knowledge after six months (retention) reduced slightly from (69.9/100, ±12) to (64.8/100, ±9.3). The CPR skill retention for various components (correct placement of the heel of hands, complete chest recoil, check for scene safety, check for a response, and activate emergency response system) slightly deteriorated from 79% in the post-test to 72% in re-test. However, participants performed slightly better on achieving an adequate rate of chest compressions from 73.7% in post-test to 75.5% in re-test.Conclusion: Community members with non-health backgrounds can learn and retain CPR skills, allowing them to be effective bystander CPR providers in OHCA situations. We recommend training the mass population in Pakistan regarding CPR to increase the survival rate from OHCA.

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Section: Discussionmentioning

confidence: 99%

“…Within Pakistan, studies have focused mostly on healthcare professionals, not on the need to train members of the general population in performing by-standing CPR. (19,23) . Encouragingly, a few studies have shown that members of the general population may be receptive to receiving such training.…”

mentioning

confidence: 99%

Out of Hospital Cardiac Arrest (OHCA): Experience of a Bystander CPR Training Program in Karachi, Pakistan

Khan¹,

Khudadad²,

Baig³

et al. 2021

Preprint

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“…It lacks a system for ACP, and most physicians are unaware of practices to honor patients' dignity near the end of their lives. 15,41 Moreover, EoL discussion in a relatively young patient requires expertise, which is not routinely taught in Pakistani medical schools. 42 Our study has several strengths and limitations.…”

Section: Discussionmentioning

confidence: 99%

“… 12 , 14 In addition, Pakistani physicians lack training in end-of-life (EoL) care and have a predilection toward performing cardiopulmonary resuscitation regardless of prognosis or patient wishes. 15 Therefore, studies exploring EoL care gaps and solutions in the country are critically needed.…”

Section: Introductionmentioning

confidence: 99%

Dialysis Decision Making and Preferences for End-of-Life Care: Perspectives of Pakistani Patients Receiving Maintenance Dialysis

Saeed

Sardar

Rasheed

et al. 2020

Journal of Pain and Symptom Management

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Context. Previous studies from the U.S. and Canada report deficiencies in informed decision making and a need to improve end-of-life (EoL) care in patients undergoing dialysis. However, there is a paucity of literature on these issues in Pakistani dialysis patients, who differ from Western patients in culture, religion, and available health care services. Objectives. To study informed dialysis decision-making and EoL attitudes and beliefs in Pakistani patients receiving dialysis. Methods. We used convenience sampling to collect 522 surveys (90% response rate) from patients in seven different dialysis units in Pakistan. We used an existing dialysis survey tool, translated into Urdu, and backtranslated to English. A facilitator distributed the survey, explained questions, and orally administered it to patients unable to read. Results. Less than one-fourth of the respondents (23%) felt informed about their medical condition, and 45% were hopeful that their condition would improve in the future. More than half (54%) wished to know their prognosis, and 80% reported having no prognostic discussion. Almost 63% deemed EoL planning important, but only 5% recalled discussing EoL decisions with a doctor during the last 12 months. Nearly 62% of the patients regretted their decision to start dialysis. Patients' self-reported knowledge of hospice (5%) and palliative care (7.9%) services was very limited, yet 46% preferred a treatment plan focused on comfort and symptom management rather than life extension. Conclusion. Pakistani patients reported a need for better informed dialysis decision making and EoL care and better access to palliative care services. These findings underscore the need for palliative care training of Pakistani physicians and in other developing countries to help address communication and EoL needs of their dialysis patients. J Pain Symptom Manage 2020;60:336e345.

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“…Despite global organizations for CPR stressing the importance of the quality of CPR skills and training [16], the latter remain low [15,[25][26][27][28][29][30][31]. Despite the acknowledged benefit of CPR skills in health professionals and the general public [15][16][17][18]24], no previous study has investigated the knowledge of CPR among physiotherapists.…”

Section: Discussionmentioning

confidence: 99%

Knowledge of cardiopulmonary resuscitation among Greek physiotherapists

Pepera

Xanthos²,

Lilios³

et al. 2019

Monaldi Arch Chest Dis

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High quality cardiopulmonary resuscitation (CPR) is crucial for influencing survival from cardiac arrest. Healthcare professionals are expected to know how to perform CPR as they may encounter emergency situations during their work. Physiotherapists, who use exercise as a therapeutic approach, should have good knowledge and skills in CPR not only to cope with possible adverse cardiac events during exercise but also because a widespread CPR application and early defibrillation can greatly reduce mortality due to heart attack. The aim of this study is to investigate knowledge of Greek physiotherapists in European Resuscitation Council guidelines for resuscitation. A secondary aim of this study was to assess and compare the knowledge score between those with and without previous training and/or lower self-confidence in CPR skills. Three hundred and fifty Greek physiotherapists who were working in hospitals and rehabilitation centres (face-to-face and e-mail contact) were randomly selected to complete an anonymous questionnaire containing demographic questions, CPR experience questions, and ten theoretical knowledge questions, based on European Resuscitation Council guidelines for resuscitation. The response ratio was 63% (n=220 physiotherapists). Respondents’ total mean score for the theoretic knowledge questions was 4.1±2 (range 1-10); 21.4% of the respondents had participated in a CPR course, while only 0.9% had previous experience in CPR performance. The group of respondents who had attended a CPR course had a significantly higher score in CPR knowledge questions and higher confidence score (p<0.01). Moreover, the physiotherapists who attended refresher courses in CPR in the workplace scored significantly higher (p<0.01). Our results indicate that Greek physiotherapists have knowledge gaps in the European Resuscitation Council guidelines for resuscitation. The percentage of Greek physiotherapists who had CPR certification and recertification was low, thus the CPR training should be mandatory for all working physiotherapists.

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Knowledge and Attitude Towards Cardiopulmonary Resuscitation Among Doctors of a Tertiary Care Hospital in Karachi

Cited by 17 publications

References 22 publications

Out of Hospital Cardiac Arrest (OHCA): Experience of a Bystander CPR Training Program in Karachi, Pakistan

Out of Hospital Cardiac Arrest (OHCA): Experience of a Bystander CPR Training Program in Karachi, Pakistan

Dialysis Decision Making and Preferences for End-of-Life Care: Perspectives of Pakistani Patients Receiving Maintenance Dialysis

Knowledge of cardiopulmonary resuscitation among Greek physiotherapists

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